Nathan Michael Valentine, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

146042 Issued in CA

Practice address

10400 Fricot City Rd
San Andreas, CA 95249-9642

Phone

(209) 736-4500

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite of Passage Adolescent Treatment Centers and Schools Inc.

  dba Sierra Ridge Academy

  • Adolescent and Children Mental Health Clinic/Center
  • San Andreas, CA
  • NPI 1376003277
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1366116089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 WESTCREEK LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897064369",
            "telephone_number": "925-329-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 FRICOT CITY RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499642",
            "telephone_number": "209-736-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny William Thompson
• Elizabeth Thompson
• Wyatt Everett Trammell, CADC-CAS, SUDDC
• Stephanie Raquel Tunchez
• Jason Turzai
• Rita Valladao
• Valley Sleep Disorders Center of San Andreas Medical Group
• John Brian Vandyck, REV.
• Diane Vickerman
• Amelia Vongphairoth

• Marriage & Family Therapist in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.